Individual
RANDAL PAUL PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
901 S LOGAN BLVD, HOLLIDAYSBURG, PA 16648-3035
(814) 944-2802
Mailing address
901 S LOGAN BLVD, HOLLIDAYSBURG, PA 16648-3035
(814) 944-2802
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS025267L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000672680
HIGHMARK BCBS
PA
05
—
001240351
—
PA
01
—
203321
UPMC HEALTH PLAN
PA
01
—
7008
GEISINGER HEALTH PLAN
PA
Enumeration date
07/18/2006
Last updated
07/21/2022
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